| Entity Name: | COMPREHENSIVE PAIN MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Jun 1992 (33 years ago) |
| Document Number: | V41951 |
| FEI/EIN Number | 593129628 |
| Address: | 20 Burton Hills Blvd, Suite 500, Nashville, TN, 37215, US |
| Mail Address: | 20 Burton Hills Blvd, Suite 500, Nashville, TN, 37215, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164462719 | 2006-06-08 | 2014-06-24 | PO BOX 30328, PENSACOLA, FL, 325031328, US | 928A MAR WALT DR, FORT WALTON BEACH, FL, 325476706, US | |||||||||||||
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| Phone | +1 850-969-9804 |
Authorized person
| Name | DR. GILBERT DROZDOW |
| Role | PRESIDENT |
| Phone | 9548382371 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1622649 | 20 BURTON HILLS BOULEVARD, NASHVILLE, TN, 37215 | 20 BURTON HILLS BOULEVARD, NASHVILLE, TN, 37215 | 615-665-1283 | |||||||||||||||||||||||||||||||||
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| Form type | 15-15D |
| File number | 333-201255-73 |
| Filing date | 2016-12-13 |
| File | View File |
Filings since 2015-01-16
| Form type | 424B3 |
| File number | 333-201255-73 |
| Filing date | 2015-01-16 |
| File | View File |
Filings since 2015-01-12
| Form type | EFFECT |
| File number | 333-201255-73 |
| Filing date | 2015-01-12 |
| File | View File |
Filings since 2014-12-24
| Form type | S-4 |
| File number | 333-201255-73 |
| Filing date | 2014-12-24 |
| File | View File |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Rodriguez MD Maria | President | 20 Burton Hills Blvd, Nashville, TN, 37215 |
| Name | Role | Address |
|---|---|---|
| Cross William | Treasurer | 20 Burton Hills Blvd, Nashville, TN, 37215 |
| Name | Role | Address |
|---|---|---|
| Marcus Jillian | Secretary | 20 Burton Hills Blvd, Nashville, TN, 37215 |
| Name | Role | Address |
|---|---|---|
| Musso Matthew | Vice President | 20 Burton Hills Blvd, Nashville, TN, 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 1998-01-28 | COMPREHENSIVE PAIN MEDICINE, INC. | No data |
| NAME CHANGE AMENDMENT | 1994-01-14 | COMPREHENSIVE PAIN MEDICINE, P.A. | No data |
| NAME CHANGE AMENDMENT | 1992-06-25 | COMPREHENSIVE PAIN RELIEF MANAGEMENT, P.A. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000162794 | TERMINATED | 1000000737719 | COLUMBIA | 2017-03-14 | 2037-03-24 | $ 1,607.16 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
